远端动脉旁路术治疗重症下肢缺血 - 大连医科大学学报.pdf

大连医科大学学报 Vol.30 No.2 第 30 卷第2 期 2008 年4 月 Journal of Dalian Medical University Apr. 2008 远端动脉旁路术治疗重症下肢缺血 白云清，开明，沈忠义，胡祥 (大连医科大学附属第一医院普外科，辽宁大连 116011 ) 摘要: [目的]探讨远端动脉旁路术在治疗重症下肢缺血中的作用o [方法]回顾性分析了 2003 年 1 月 -2007 年3 月应用远端动脉旁珞术治疗的 36 例重症下肢缺血病人。[结采] 36 例中 33 例 (9 1. 7%) 术后患肢静息痛消失，皮 肤温度、颜色明显改善，踩月在指数均值由术前0.12 :t 0. 15 升为术后 0.87 :t 0. 21 ，两者之间差异有统计学意义(P 0.001) 。术后随访31 例，随访时间 1 - 3 年(平均 2 年) ，术后 l 、 2 、 3 年移植血管的一期累计通畅率分别为 859毛、 72% 、 709毛，二期累计通畅率分别为 871毛、73% 、729毛。[结论]远端动脉旁路术是治疗重症下肢缺血，挽救患者肢体 的有效方法之一。 关键词:血管疾病;局部缺血;血管外科手术 中图分类号:R61 文献标识码:A 文章编号:1671 -7295(2008)02 -0146 -03 Distal arterial bypass for treatment of critical lower limb ischemia BAI Yun -qi吨， QI Ming , SHENG Zho吨 -yi ， HU Xi归lan (Deψp， αr时t附nt of Ge均e衍佣阳n~eraα1 Surgery , the First Affiliated Hospital of Dalian Medical University , Dalian 116011 , China) Abstract: [Objective] To assess the clinical effects of distal arterial bypass for the treatment of critical lower limb ischemi- a. [Methods ] We retrospectively analyzed 36 patients with criticallower limb ischemia , for which distal arterial bypass was performed from January , 2003 to March , 2007. [Resu\t s] In 33 cases (9 1. 7%) symptoms were relieved , with resting pain disappeared and skin temperature improved. Ankle brachial index (AB I) increased significantly from O. 12 :t O. 15 to 0.87 :t 0.21 perioperatively (P 0.001). Postoperatively , 31 cases were followed up for 1 year to 3 years. The primary graft patency rates in this series were 85% , 72% and 701毛 in 1 year , 2